# SMITH THE ABA SCIENTIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548130016
- **Authorized official:** TAMESHA SMITH QBA, LBA, IBA (CLINICAL DIRECTOR/CEO)
- **Authorized official phone:** (786) 506-1326

## Contact information

- **Practice address:** 1300 RIDENOUR BLVD NW STE 100, KENNESAW, GA 30152-4528
- **Practice address phone:** (470) 232-0073
- **Practice address fax:** (470) 232-0076
- **Mailing address:** 1300 RIDENOUR BLVD NW STE 100, KENNESAW, GA 30152-4528
- **Mailing address phone:** (470) 232-0073
- **Mailing address fax:** (470) 232-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 11/10/2025
- **Last updated:** 11/17/2025